采用椎板间入路的全内镜下椎间盘切除术治疗L5-S1节段含气性椎间盘突出症。
Full-endoscopic discectomy utilizing an interlaminar approach for gas-containing herniation at L5-S1.
作者信息
Ioroi Yoshihiko, Kawasaki Toshinari, Hashimoto Jun, Kobayashi Tamaki, Koga Hisashi, Takayama Motohiro
机构信息
Department of Spinal Neurosurgery, Kyoto Katsura Hospital, Kyoto, Japan.
Department of Neurosurgery, Iwai Full-Endoscopic Spine Surgery (FESS) Clinic, Tokyo, Japan.
出版信息
Surg Neurol Int. 2024 Jul 26;15:265. doi: 10.25259/SNI_508_2024. eCollection 2024.
BACKGROUND
Intradiscal gas is frequently observed in older patients with disc degeneration and can occasionally result in nerve root compression.
CASE DESCRIPTION
A 79-year-old male patient presented with increasing left lower extremity sciatica. Lumbar computed tomography (CT) and magnetic resonance (MR) images revealed a left paramedian L5-S1 gas-containing disc herniation. Utilizing an interlaminar approach, a full-endoscopic discectomy (FED) was performed at L5-S1. During disc removal, we countered intradiscal gas bubbles. Postoperatively, the patient's symptoms/signs fully resolved, and follow-up MR and CT images revealed total resection of the disc herniation, and no further gas.
CONCLUSION
Through an interlaminar FED, we effectively removed an L5-S1 MR/CT-documented gas-containing disc herniation.
背景
在患有椎间盘退变的老年患者中经常观察到椎间盘内气体，偶尔可导致神经根受压。
病例描述
一名79岁男性患者出现左下肢坐骨神经痛加重。腰椎计算机断层扫描（CT）和磁共振（MR）图像显示L5-S1左侧旁正中含气椎间盘突出。采用椎板间入路，在L5-S1进行了全内镜下椎间盘切除术（FED）。在摘除椎间盘时，我们遇到了椎间盘内的气泡。术后，患者的症状/体征完全缓解，随访的MR和CT图像显示椎间盘突出已完全切除，且无进一步气体。
结论
通过椎板间FED，我们有效地切除了L5-S1经MR/CT证实的含气椎间盘突出。
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